A nurse in an acute mental health center is performing a physical assessment on a client. Which of the following findings should the nurse document under the integumentary system? (Select all that apply.)
Numbness
Skeletal deformities
Alopecia
Ecchymosis
The Correct Answer is A
A. Transference: Transference occurs when a client projects feelings about someone from their past onto the therapist or nurse. The client’s feelings about the nurse being similar to their mother fit this description.
B. Confrontation: Confrontation involves addressing discrepancies or issues directly, which is not the focus here. The situation described is about the client’s feelings towards the nurse.
C. Countertransference: Countertransference occurs when a nurse or therapist has emotional reactions based on their own past experiences, not the client’s feelings about the nurse.
D. Incongruence: Incongruence refers to a mismatch between a person's experiences and their self-concept. The situation described involves the client's feelings toward the nurse rather than incongruence.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ideas of reference: Ideas of reference involve the belief that common elements of the environment are directly related to oneself. The client’s belief that the group’s laughter is about them, despite unrelated content, fits this description.
B. Somatic delusion: Somatic delusions involve false beliefs about one's body or health. The client’s reaction is more related to perceived social interactions rather than beliefs about their own health.
C. Erotomania: Erotomania involves the belief that someone is in love with the individual, which is not relevant to the described situation.
D. Grandeur: Delusions of grandeur involve believing one has exceptional abilities or status. The client’s reaction does not fit this description.
Correct Answer is C
Explanation
A. "Why do you think your father chose that time and place to yell at you?" This question might come across as blaming or accusatory, potentially making the client defensive.
B. "Well it sounds like your father has difficulty controlling his temper." This statement focuses on the father's behavior rather than the client's feelings, which isn't empathetic.
C. "You must have been embarrassed when your father yelled at you in the grocery store." This response acknowledges and validates the client's feelings, demonstrating empathy.
D. "You really should find your own housing and get out of the situation with your father." This advice-giving response might seem insensitive to the client's current situation and lacks empathy.
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